Provider Demographics
NPI:1477447191
Name:BLATCHFORD, CAROLYN ANN (OTD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANN
Last Name:BLATCHFORD
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 S EBENEZER AVE APT 239
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-5783
Mailing Address - Country:US
Mailing Address - Phone:605-633-1472
Mailing Address - Fax:605-633-1472
Practice Address - Street 1:3000 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-759-8466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist